CASE REPORT
Acute appendicitis within an Amyand’s hernia: a case report and literature review
1
Clinical Provincial Hospital No. 2 of St. Jadwiga the Queen, Rzeszów, Poland
2
Department of Normal and Clinical Anatomy, Faculty of Medicine, Medical College of the
University of Rzeszów, Poland
3
Departament of Surgery, Faculty of Medicine, Medical College of the University of Rzeszów,
Poland
Submission date: 2025-06-05
Final revision date: 2025-07-24
Acceptance date: 2025-09-22
Publication date: 2025-09-30
Corresponding author
Medicine and Public Health 2025;3(1):5-12
KEYWORDS
TOPICS
ABSTRACT
Background:
We present a clinical case of Amyand’s hernia complicated by acute appendicitis.
Material and methods:
A 71-year-old male presented with an incarcerated right inguinal hernia. Intraoperatively, a gangrenous, perforated appendix with associated purulent collection was identified, consistent with a type three Amyand’s hernia.
Results:
This case highlights the diagnostic and therapeutic challenges of Amyand’s hernia. Due to its rarity and nonspecific presentation, the diagnosis is often made intraoperatively. Timely intervention and appropriate surgical strategy are essential to prevent complications.
Conclusions:
Amyand’s hernia should be considered in the differential diagnosis of complicated inguinal hernias. Surgical management must be adapted to the intraoperative findings.
We present a clinical case of Amyand’s hernia complicated by acute appendicitis.
Material and methods:
A 71-year-old male presented with an incarcerated right inguinal hernia. Intraoperatively, a gangrenous, perforated appendix with associated purulent collection was identified, consistent with a type three Amyand’s hernia.
Results:
This case highlights the diagnostic and therapeutic challenges of Amyand’s hernia. Due to its rarity and nonspecific presentation, the diagnosis is often made intraoperatively. Timely intervention and appropriate surgical strategy are essential to prevent complications.
Conclusions:
Amyand’s hernia should be considered in the differential diagnosis of complicated inguinal hernias. Surgical management must be adapted to the intraoperative findings.
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